| NPI | 1992342034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028201) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27797) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2021-05-04 |